HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-2-4-9- Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: I Arbn I es L/1%
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: %Zi VeAror%4
DETAILED DESCRIPTION OF WORK:
Replace old exisiting meter center with anew meter/main combo panel. Qi I + 3 Arno ip-s L n1
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit–check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,000.00
Sprinklers _ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Christopher Jernigan
Company:Arc Master Electric LLC
Address:8000 US 1 Ste 402
City: Port St Lucie State: _
Address: 1660 SW Mackey Ave
Zip Code: 34952 Fax: 772-204-2180
City: Port St Lucie State: FL
Phone No.772-878-3011
Zip Code: 34953 Fax: 772-204-2180
E-Mail:beverly@spanishlakes.com
Phone N0772-708-9466
Fill in fee simple Title Holder on next page ( if different
E-Mailchris@spanishlakes.com
from the Owner listed above)
State or County License ER 31751
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _,4_ Not Applicable
Name:
Address:
MORTGAGE COMPANY: )c Not Applicable
Name:
Address:
City: State:
Zip: Phone
_
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: __jt Not Applicable
Name:
Address:
BONDING COMPANY: _y Not Applicable
Name:
Address:
City:_
Zip: Phone:_
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of O er/ Lessee/ ontracto Agent for Owner Signature of Co ractor/Lice Hold
STATE OF FLORI¢ / , STATE OF FLOR�)A GU
COUNTY OF c�� (�(j�(� COUNTY OF �� tu
The for ing instrume t was a knowledged before me The forgoing instrume was ack owledged before me
this day of ji 20& by this ZOday of 20 by
Name of person making statement. Name of person making statement.
Personally Known `� OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
/// / J///7 rhL
(S' nature of N ev€rga�eFbGditarida
NOTARY PUBLIC ) (fig—nature of No I g3e�l a )
Commission STATE OFFLORI NOTARY PUBLIC
mal) Commission N OFFLORI&aI)
Canny CG2t32780w2wq �� Comff* GG262780
pims 9/2 022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19